Prosthetic liner-socket design for children with long congenital and amputated shoulder

Abstract

BACKGROUND: Traditional cosmetic prosthetic designs for a long shoulder stump in children have several disadvantages, such as a rigid uncomfortable receiving socket, the need to use a strap fastening, and the non-cosmetic product due to the disproportionate shoulder and forearm length compared with the preserved limb.

AIM: This study aimed to design, manufacture, and test a prototype of the shoulder stump liner-socket.

MATERIALS AND METHODS: A new liner-socket of a shoulder cosmetic prosthesis has been developed, confirmed by a Russian Federation patent for an invention, which for the first time, in the practice of domestic prosthetics, is made of two types of silicone and has been successfully used in cosmetic prosthetics for 17 children, of whom 10 previously used traditional long stump prosthesis. Satisfaction with new liner-socket prosthesis was analyzed using a psychometric scale compared with a conventional prosthesis.

RESULTS: The developed design combines both the inner socket function, which allows the elbow hinge to be attached to it and the liner properties, which ensures a comfortable stay of the stump in the receiving socket due to the properties of silicone and excludes the use of traditional bandages.

CONCLUSIONS: The presented medical and technical solution ensures the simplicity and reliability of fastening the cosmetic shoulder stump prosthesis, including on the long shoulder stump, without disturbing the relatively healthy limb proportions, as well as wearing comfort.

Keywords

shoulder congenital defect / prosthetics / cosmetic shoulder prosthesis / liner-socket / children’s prosthetics / congenital limb defects

References

[1] Rukovodstvo po protezirovaniyu i ortezirovaniyu. In 2 vol. Ed. by M.A. Dyimochka, A.I. Suhoverova, BG Spivak. 3rd ed. Moscow; 2016. (In Russ.)

[2] Руководство по протезированию и ортезированию: в 2 т. / под ред. М.А. Дымочки, А.И. Суховеровой, Б.Г. Спивака. 3-е изд., перераб. и доп. Москва, 2016.

[3] Reabilitaciya invalidov: nacional’noe rukovodstvo. Ed. by G.N. Ponomarenko. Moscow: GEOTAR-Media; 2018. (In Russ.)

[4] Реабилитация инвалидов: национальное руководство / под ред. Г.Н. Пономаренко. Москва: ГЭОТАР-Медиа, 2018.

[5] Reabilitaciya invalidov: nacional’noe rukovodstvo. Kratkoe izdanie. Ed. by G.N. Ponomarenko. Moscow: GEOTAR-Media; 2020. (In Russ.)

[6] Реабилитация инвалидов: национальное руководство. Краткое издание / под ред. Г.Н. Пономаренко. Москва: ГЭОТАР-Медиа, 2020.

[7] Zamilackij YuI, SHCHerbina KK, Andrievskaya AO, et al. Konstrukcii protezov verhnih konechnostej: uchebnoe posobie. Ed. by G.N. Ponomarenko. Saint Peterburg: CIACAN; 2019. (In Russ.)

[8] Замилацкий Ю.И., Щербина К.К., Андриевская А.О. и др. Конструкции протезов верхних конечностей: учебное пособие / под ред. Г.Н. Пономаренко. Санкт-Петербург: ЦИАЦАН, 2019.

[9] Zamilackij YuI, SHCHerbina KK, Suslyaev VG, et al. Tekhnologiya izgotovleniya priemnyh gil’z protezov verhnih konechnostej: uchebno-prakticheskoe posobie. Ed. by G.N. Ponomarenko. Saint Peterburg: CIACAN; 2019. (In Russ.)

[10] Замилацкий Ю.И., Щербина К.К., Сусляев В.Г. и др. Технология изготовления приемных гильз протезов верхних конечностей: учебно-практическое пособие / под ред. Г.Н. Пономаренко. Санкт-Петербург: ЦИАЦАН, 2019.

[11] Gil’za-lajner dlya kul’ti plecha: pat. 2721540 RF, MPK A61F2/54. A.V. Kruglov, G.A. Lein; patentoobladatel’: Skoliolodzhik.ru. No. 2019137451; zayavl. 21 Nov 2019; opubl. 19 May 2020. (In Russ.)

[12] Гильза-лайнер для культи плеча: пат. 2721540 РФ, МПК А61F2/54 / А.В. Круглов, Г.А. Леин; ООО «Сколиолоджик.ру». № 2019137451; заявл. 21.11.2019; опубл. 19.05.2020.

[13] Ponomarenko GN, Shcherbina KK, Golubeva YB, Galaudina VV. On the quality of prosthetic and orthopedic appliances. Standards and Quality. 2020;(2):94−99. (In Russ.)

[14] Пономаренко Г.Н., Щербина К.К., Голубева Ю.Б., Галаудина В.В. О качестве протезно-ортопедических изделий // Стандарты и качество. 2020. № 2. С. 94−99.

[15] Smirnova LM, Shcherbina KK, Galaudina VV, Golubeva YB. A regulatory framework for the quality assessment of prosthetics. Standards and Quality. 2019;(6):46−51.

[16] Смирнова Л.М., Щербина К.К., Галаудина В.В., Голубева Ю.Б. Нормативная база оценки качества протезирования // Стандарты и качество. 2019. № 6. С. 46−51.

[17] Salminger S, Stino H, Pichler LH, et al. Current rates of prosthetic usage in upper-limb amputees- have innovations had an impact on device acceptance? Disabil Rehabil. 2020:1−12. DOI: 10.1080/09638288.2020/1866684

[18] Salminger S., Stino H., Pichler L.H. et al. Current rates of prosthetic usage in upper-limb amputees- have innovations had an impact on device acceptance? // Disabil. Rehabil. 2020. P. 1−12. DOI: 10.1080/09638288.2020/1866684

[19] Brack R, Amalu EH. A review of technology, materials and R&D challenges of upper limb prosthesis for improved user suitability. J Orthop. 2020;23:88−96. DOI: 10.1016/j.jor.2020.12.009

[20] Brack R., Amalu E.H. A review of technology, materials and R&D challenges of upper limb prosthesis for improved user suitability // J. Orthop. 2020. Vol. 23 P. 88−96. DOI: 10.1016/j.jor.2020.12.009.

[21] Biddiss EA, Chau TT. Upper limb prosthesis use and abandonment: a survey of the last 25 years. Prosth Orthot Int. 2007;31(3):236−257. DOI: 10.1080/03093640600994581

[22] Biddiss E.A., Chau T.T. Upper limb prosthesis use and abandonment: a survey of the last 25 years // Prosth. Orthot. Int. 2007. Vol. 31. No. 3. P. 236−257. DOI: 10.1080/03093640600994581

[23] Kyberd PJ, Hill W. Survey of upper limb prosthesis users in Sweden, the United Kingdom and Canada. Prosth Orthot Int. 2011;35(2):234−241. DOI: 10.1177/0309364611409099

[24] Kyberd P.J., Hill W. Survey of upper limb prosthesis users in Sweden, the United Kingdom and Canada // Prosth. Orthot. Int. 2011. Vol. 35. No. 2. P. 234−241. DOI: 10.1177/0309364611409099

[25] Stephens-Fripp В, Walker MJ, Goddard E, et al. A survey on what Australians with upper limb difference want in a prosthesis: justification for using soft robotics and additive manufacturing for customized prosthetic hands. Disabil Rehabil Assist Technol. 2020;15(3):342−349. DOI: 10.1080/17483107. 2019.1580777

[26] Stephens-Fripp В., Walker M.J., Goddard E. et al. A survey on what Australians with upper limb difference want in a prosthesis: justification for using soft robotics and additive manufacturing for customized prosthetic hands // Disabil. Rehabil. Assist. Technol. 2020. Vol. 15. No. 3. P. 342−349. DOI: 10.1080/17483107. 2019.1580777

[27] Sims T, Cranny A, Metcalf Ch, et al. Participatory design of pediatric upper limb prostheses: qualitative methods and prototyping. Int J Technol Assess Health Care. 2017;33(6):629−637. DOI: 10.1017/S0266462317000836

[28] Sims T., Cranny A., Metcalf Ch. et al. Hall Participatory design of pediatric upper limb prostheses: qualitative methods and prototyping // Int. J. Technol. Assess. Health Care. 2017. Vol. 33. No. 6. P. 629−637. DOI: 10.1017/S0266462317000836

RIGHTS & PERMISSIONS

Kruglov A.V., Lein G.A.